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JOHN WESLEY RUFFIN MD NPI 1194793026


NPI Information

NPI: 1194793026
Provider Name: JOHN WESLEY RUFFIN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Organization: GLOBAL PHYSICIAN NETWORK LLC SERIES I

PECOS Registration: Yes

Address:
3509 N BROAD STREET
TEMPLE UNIVERSITY CHILDRENS MEDICAL CENTER
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-6606
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John Wesley Ruffin, MD is a pediatrics in Philadelphia, PA with 31 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. John Wesley Ruffin, MD NPI is 1194793026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

3509 N BROAD STREET
TEMPLE UNIVERSITY CHILDRENS MEDICAL CENTER
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-6606
Fax: (215) 707-6629

The NPI 1194793026 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/8/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMD422285PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G57567MEDICARE UPIN
2073422MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
31551179OTHERPENNSYLVANIAHIGHMARK BS
40019702320003MEDICAIDPENNSYLVANIA
52234289000OTHERPENNSYLVANIAINDEPENDENCE BC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.